Female

Ms. Anne L. Koch LCPC

Professional Counselor in Portland, ME(View on Map)

Full Name

Ms. Anne L Koch LCPC

NPI Number

1437118759

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/23/2006

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

CC1309

Contact
Information

Purpose

Mailing
Location

Address

778 FOREST AVENUE
778 FOREST AVENUE

City

Portland
Portland

State

ME
ME

Postal Code

04103
04103

Country

US
US

Telephone Number

(207) 874-2884
(207) 874-2884

Identifiers

Identifier

132060101
132060100

Identifier State

ME
ME

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/13/2016

Provider Address

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